The Implementation of PROMs/PREMs in the Assessment of Orthodontic Treatment Outcomes

Abstract

A BSTRACT Objectives: The aim of this study was to explore the impact of self-perceived treatment outcomes and experiences on psychological aspects, reflecting the importance of patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) in orthodontic practice. Materials and Methods: A questionnaire was constructed using the PROMs/PREMs concepts. It contained five parts: “Demographic data”, “Self-perceived esthetics”, “Self-perceived functional concern”, “Satisfaction of treatment procedures”, and “Psychological aspect”. The questionnaire was piloted in five experts and 50 orthodontic patients to ensure its quality, using content validity, test-retest reliability, and Cronbach’s alpha. The validated version was provided to patients who had a complete fixed appliance orthodontic treatment. These data were analyzed using descriptive statistics, Mann-Whitney U test, and Spearman correlation. In addition, a multiple linear regression was used to analyze whether there were any influential factors on a psychological aspect. Statistical significance was taken at P < 0.05. Results: A total of 271 respondents completed the questionnaire. They tended to have positive perceptions toward the outcomes of orthodontic treatment. There was a significant difference in self-perceived esthetics between the male and female groups. Self-perceived esthetic and functional concerns as well as satisfaction of treatment procedures were found to have significant correlations with the psychological aspect. Sex and self-perceived esthetics were also found to be significant predictors of the psychological aspect. Conclusion: PROMs/PREMs should be considered as an important tool to assess treatment outcomes in orthodontic practice. There appeared to be significant impact of self-perceived esthetics on psychological aspects. Consequently, PROMs and PREMs should be introduced in orthodontic postgraduate programs to enhance the concept of patient-centered care in orthodontic practice.

Cross-cultural adaptation of PIDAQ questionnaire to evaluate the psychosocial impact of dental esthetics in Chilean adolescents with malocclusion

“…However, the reports and publications on the needs and results of orthodontic treatment continue to be evaluated with CROMs (clinician-reported outcome measures) tools [18], which do not re ect the psychosocial dimension of malocclusions. Various tools have been reported in the scienti c literature that allows patient-reported outcome measures (PROMs) to be measured, extending the measurement by incorporating criteria related to OHRQoL [19][20][21]. The Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) is a PROMs instrument speci cally designed to assess the psychosocial impact of malocclusions on OHRQoL [22,23].…”

Cross-cultural adaptation and validation of the PIDAQ questionnaire in Chilean adolescents with oral malocclusion

“…However, the reports and publications on the needs and results of orthodontic treatment continue to be evaluated with CROMs (clinician-reported outcome measures) tools [18], which do not re ect the psychosocial dimension of malocclusions. Various tools have been reported in the scienti c literature that allows patient-reported outcome measures (PROMs) to be measured, extending the measurement by incorporating criteria related to OHRQoL [19,20,21]. The Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) is an PROMs instrument speci cally designed to assess the psychosocial impact of malocclusions on OHRQoL [22,23].…”